Provider Demographics
NPI:1043592223
Name:STINE, KAMILLE (LMHC)
Entity Type:Individual
Prefix:
First Name:KAMILLE
Middle Name:
Last Name:STINE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KAMILLE
Other - Middle Name:
Other - Last Name:SAPNIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:590 6TH AVE FL 7
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-2022
Mailing Address - Country:US
Mailing Address - Phone:850-345-9608
Mailing Address - Fax:
Practice Address - Street 1:590 6TH AVE FL 7
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-2022
Practice Address - Country:US
Practice Address - Phone:646-629-7392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006584-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health